National Vital Statistics Report Form -- line 2-- Annual Vital Statistics Occurence Report

NCHS: National Vital Statistics Report Forms

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0213 can be found here:

Documents and Forms

Document Name Document Type
Form 2 National Vital Statistics Report Form -- line 2-- Annual Vital Statistics Occurence Report Form
NVSReport_Att_D_Annual_Form_032609.doc Other-WORD
2 Annual Vital Statistics Occurence Report NVSR 2012-2015 AttD Annua Form120111.doc Form

Information Collection (IC) Details

IC Title:	National Vital Statistics Report Form -- line 2-- Annual Vital Statistics Occurence Report	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	2	Annual Vital Statistics Occurence Report	NVSR 2012-2015 AttD Annua Form120111.doc		Yes	Yes	Fillable Printable
Other-WORD			NVSReport_Att_D_Annual_Form_032609.doc		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 60 %

	Approved	Previously Approved
Annual Number of Responses for this IC	58	58
Annual IC Time Burden (Hours)	29	29
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.